MEDICARE: ANDREA MICHELLE COLE CNM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367A00000X	Advanced Practice Midwife	RN271428	GA

General Provider Information

NPI Number	:	1083432090
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREA MICHELLE COLE CNM

Provider Business Mailing Address
First Line	:	4780 ASHFORD DUNWOODY RD STE 540-174
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30338-5564
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 BALTIMORE PL NW
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30308-2116
Country	:	US
Telephone Number	:	404-474-2770
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/30/2024
Last Update Date	:	03/02/2026

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